Paul A Clark is a Mandeville, Louisiana based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Paul A Clark is LA4476 for General Practice Dentistry in Louisiana. Her current practice location is 639 Lotus Dr N, Mandeville. Patients can reach her at 985-624-5449.
Paul A Clark is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Paul A Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Paul A Clark
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
639 Lotus Dr N, Mandeville, Louisiana, 70471-2926
Phone:
985-624-5449
Fax:
985-674-0393
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184872947
NPI Enumeration Date:
05 Sep, 2008
NPI Last Update On:
05 Sep, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul A Clark are as mentioned below.
License Number
Specialization
State
Status
LA4476
General Practice Dentistry
Louisiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Paul A Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
#150499
Other
Louisiana
UNITED CONCORDIA
A2217
Other
Louisiana
BCBC OF LA
1844764
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
639 Lotus Dr N, Mandeville, Louisiana
Zip:
70471-2926
Phone Number:
985-624-5449
Fax Number:
985-674-0393
Patients can reach Paul A Clark at 639 Lotus Dr N, Mandeville, Louisiana or can call to book an appointment on 985-624-5449. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.